The nurse reports that a client is at risk for a brain attack (stroke) based on which assessment finding?
A. Nuchal rigidity
B. Palpable cervical lymph nodes.
C. Jugular vein distention
D. Carotid bruit
Answer: D. Carotid bruit
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A student who is assigned to observe in the chemical dependency center asks "What is the difference
between drug abuse and drug dependence?" The nurse replies "Abuse implies maladaptive, consistent use of the drug despite having problems related to the drug.". Which statement should be used to describe dependency? a. Dependence involves the lack of control of drug use, tolerance, and withdrawal symptoms when intake is reduced or stopped. b. Dependence occurs when psychoactive drug use interferes with the work of neurotransmitters. c. Dependence refers to symptoms that occur when two or more drugs affecting the central nervous system (CNS) are used for their additive effects. d. Dependence refers to taking a combination of drugs to weaken or inhibit the effect of another drug.
The nurse is assessing cognitive function in a client who experienced a cerebral vascular accident. The nurse should focus on which of the following?
1. Ability to smell items while eyes are closed 2. Orientation to time, place, and person 3. Ability to walk with a smooth, steady gait 4. Ability to speak clearly
A 1-month-old infant is admitted to the emergency room with severe diarrhea. Which of the following assessments suggest the infant is severely dehydrated?
1. Skin moist and flushed;mucousmembranes dry 2. Low specific gravity of urine;skincolor paleFontanels depressed;capillary refillgreater than three seconds 4. High specific gravity of urine;moistmucous membranes
A thickened synovial membrane is described as feeling:
A. rigid. B. pliable. C. constricted. D. boggy.